Individual
JADA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
814 S 6TH ST, MONTICELLO, IN 47960-8199
(574) 583-9337
Mailing address
814 S 6TH ST, MONTICELLO, IN 47960-8199
Taxonomy
Speciality
Code
Description
License number
State
163WG0600X
Gerontology Registered Nurse
Primary
28231003A
IN
Other
Enumeration date
12/28/2022
Last updated
12/28/2022
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